The double stapling technique in low anterior resection of rectal cancer
- VernacularTitle:低位直肠癌行双吻合器保肛手术
- Author:
Hong ZHANG
;
Yanyan SHEN
;
Jinchun CONG
;
Lei QIAO
;
Yong FENG
;
Chunsheng CHEN
;
Enqing LIU
- Publication Type:Journal Article
- Keywords:
Rectal Neoplasm/surg;
Colorectal Surgery/methods;
Postoperative Compmications/prev
- From:
Chinese Journal of General Surgery
1997;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the outcome of low anterior resection of rectal cancer with double stapling technique.Methods A retrospective analysis of clinical records of 78 rectal cancer patients who had anal preservation operation using double stapling technique was performed.Results In all of the cases,the rectal closing and anastomosis were satisfactorily completed.All the resection margins were negative for tumor infiltration.There was no operative mortality or anastomosis leakage.Seventy-three(93.6%)cases were followed up for 9-65 months,pelvic recurrence occurred in 2 cases(2.7%),multiple metastasis of peritoneal cavity occurred in 1 case(1.4%),liver metastasis was found in 7 cases(9.6%),one patient suffered from local recurrence and Miles operation was performed 11 months later.Conclusions Double stapling technique can provide more chances for sphincter preservation operation in patients with lower rectal cancer.If the technique is properly used,it also may effectively reduce the rate of anastomosis leakage and other complications.
